Individual ProviderErin M ClancyLicensed Practical NurseNursing Service ProvidersPractice Address24 W Masem Sq, East Patchogue, NY 11772-5620(631) 317-8741PECOS EnrollmentBased on the most recent information from CMS, provider Erin M Clancy does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1417495227Provider TypeIndividualFull NameClancy, Erin MTitleMs.CredentialLPNGenderFemaleSole ProprietorYesEnumeration Date2/1/2017Last Updated2/1/2017Contact InformationPractice LocationPractice Address24 W Masem Sq, East Patchogue, NY 11772-5620Phone(631) 317-8741FaxUnlisted FaxMailing LocationMailing Address24 W Masem Sq, East Patchogue, NY 11772-5620Phone(631) 317-8741FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense259077-1New York